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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 2 COMMUNITY DEVELOPMENT Permit #: FPS2012 -00141 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/21/2012 Parcel: 2S 113 BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 120 Project: Southwest Center Subdivision: ROSEWOOD ACRE TRACTS Lot: D Project Description: Add /relocate (3) sprinkler heads Contractor: FIRE ONE FIRE SYSTEMS INC Owner: PORTLAND SW CENTER LLC PO BOX 734 BY FELTON PROPERTIES INC OREGON CITY, OR 97045 ATTN: FELTON, MATT 520 SW 6TH AVE, STE 610 PORTLAND, OR 97204 PHONE: 503 - 557 -9050 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee - COM 08/21/2012 $51.09 12% State Surcharge - Building 08/21/2012 $6.13 Type of Use: COM Plan Review - Fire Life Safety - COM 08/21/2012 $20.44 Class of Work: FPS Type of Const: VB Info Process /Archiving - Sm $0.50 (up to 08/21/2012 $0.50 • Occupancy Grp: B Height: ft 11x17) Stories: 4 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: ORD2 Density: .10 Design Area: 1500 K Factor: 5.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $78.16 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $300.00 Residential Square Footage: 0 • Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Z Permittee Signature: 9 .�� Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. { Building Permit Application RECEIVED Fire Protection System AUG 2 2012 FOR OFFICE USE ONLY City of Tigard Received MM Permit NoF�os-�py.72.dD /9 13 ° 13125 SW Hall Blvd., Tigard OR 97223 CITYOFTKiARD Plan Review Other Per �,�/�' -00/3 I Phone: 503.718.2439 Fax 503.598. 1 CJ1LD11�f G DNISION Date/B TIGARD Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for Internet: www.ligard- or.gov Notified/Metbad_ IIIM Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ig Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1 - and 2- family dwelling Rf Commercial/industrial Valuation: $ El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: '7 te - "'"z_ s,.... ^ � Q �. - i .. c -� ' y Z New dwelling area: square feet City/State/ZIP: \ (� L� 1 VQczAttx r 9 7-2-ZI. Garage /carport area: square feet Suite/bldg. /apt. no.: 12_ Project name: ei7O1L1 5440 C G T Vi -SL Covered porch area: square feet Cross street/directions to job site: ) u 77/ WEST Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. V't'm f ©L/� i Qc , 1 y c-- p Vt 4 �J ,T� A Valuation: 3 to $ V 4` 1 � _ D 1 � — (A P L t Existing building area: square feet V �� New building area: square feet ❑ PROPERTY OWNER I TENANT Number of stories: y Name: � ■C - V_.■h SOA.5 A1/4,3 v-S - Cr l r Type of construction: -r I p[ w gp tJ t Address: 1b'--z_ 5w'-.- ue_vi .,-, 5 \ 'Ltp Occupancy groups: City/ State/ZIP: MCa PN2 f) , C 41-.) „.1-4 e l 7 22--( Existing: Phone: ( ) Fax: ( ) New: [(APPLICANT ❑ CONTACT PERSON NOTICE Business name: -F\� bt �‘RcZ Stqr E>r,e1 J N i(, All contractors and subcontractors are required to be Contact name: �C�� -T� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ?0 e>niOL " V-1 jurisdiction in which work is being performed. If the City/ State/ZIP: 6 C,o� C (T , bR 1,1 9 7045 applicant is exempt from licensing, the following reasons q R a I Phone: (5:6)S":11 • " Q I ! 05'D I Fax : 653) ."'"7 U ^ct , E -mail: N )GLCii. Ti R ,LatE, 0ef..., CONTRACTOR BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) N 5 P■bo a Permit fee: Address: �1Fi4 State surcharge (12% of permit fee): City/ State/ZIP: FLS plan review (40% of permit fee): Phone: ( ) Fax: ( ) (Due upon application) CCB lic.: C Ig1 L.E , Total permit fees: Authorized signature: Amount received: 9/� / 4, This permit application expires if a permit is not obtained Print name: OICIL ?) _� I . :1 Date � / 1 `Z� within 180 days after it has been accepted as complete. ��+`�� • Fee methodology set by Tri- County Building Industry Service Board. 1:\ Building \Pennits1FPS- PermitApp.doc 02/01/11 440 - 46131(11 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ts, 1 -10 heads: No plan review required. IS, Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: a Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler 0 - Wet ❑ Dry Additional Standpipes' Information: Hazard Group (jQTAtJpi Ci Density o p Desig i Area I'jtjp K. Factor I D, Sprinkler Project Valuation: $ `3t:9;) B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. http: / /www.tigard- or.gov /city_ hall /departments /cd /dots /FPS- PetmitApp.doc 02/01/12 Legend: , , , 1 (8)=Add/Relocate F1 • Y • 6 4 ..•.. „x • :r ` EI ED • = Existing .. q .. 3= A�_1,, 2 2012 , 1 _ ..•., ,, ,,,,,,:„: i 7 ,,,ki. r: , • 1 \, i `'e ms +z;. : ?:4> i! ; CITYOFTIGARD ` ' BUII.DII�IGDIVISION ' i t` ;+ c - lP „ >., ,., ,.,. 3 :Total Heads • ,, • " " ,,,: • • tN I OFFICE COPY - �:� :l " A� — tfa 10a f':._!) I C ! _ E .0.- E ( , ,.., , • • • • 1 N _ . ` Ij� m N I ? M F- i i n s CO ro • • • G en e ral Notes 1 t L 3 1. Work limited to indicated changes only. a 2. All new heads to match existing. N v be supported. ° � �� .�_, t 3. Piping over 2' to b supp t d 4. No more than 2 heads in one area off 1" pipe 5. All work to conform with NFPA 13 current ed. F.O.F.S. Fire One Fire Systems Inc 6. Existing Layout for reference only. Exact locations CCB 98140 Po Box 734 OC, OR 97045 503 - 557 -905D may vary. Fax 503-557-9268 Date: 21Aug12 Drawn By: Nick B.